Nine top tips for working through the longer term impact of Pregnancy Loss

As a GP who has personally experienced miscarriage, I know the profound impact it can have long after the physical loss has occurred. The grief, guilt, and shattered dreams don't just disappear. They linger like unwanted houseguests.

For many of us, miscarriage can erode self-confidence at a core level. We start questioning whether we are failing as women, as doctors, as caregivers. The sense of isolation can be crippling when societal taboos prevent us from openly discussing our pain. We put on a brave face at work, battling intrusive thoughts while we care for pregnant patients or newborns. Our focus falters as we replay past losses.

The emotional turmoil of miscarriage can drain us, making it difficult to be fully present for colleagues, loved ones, or ourselves. We may lose interest in activities we once enjoyed and stop nurturing vital relationships. Unhealthy coping mechanisms like overworking or emotional numbing can take over. Without proper support, the negative impacts can cascade into anxiety, depression, and even PTSD.

But there are some simple things that we can do to support ourselves and prevent these long term impacts.

1. Allow yourself to fully grieve. Pregnancy loss is a profound and valid form of grief. Give yourself permission to feel and express the range of emotions without judgment. It is impossible to suppress emotion - it will find a way out whether we want it to or not.
2. Join a support group. Connecting with others who understand your experience can provide immense comfort and help counter feelings of isolation.
3. Consider professional support. Working with a therapist specializing in pregnancy/infant loss can guide you through the healing process.
4. Practice journaling. Writing about your thoughts and feelings can be cathartic and help process the loss over time.
5. Nurture your body. Engage in gentle exercise, prepare nourishing meals, and prioritize restful sleep to rebuild your stamina.
6. Spend time in nature. Taking a walk outdoors or just sitting peacefully among greenery can reduce stress and promote healing.
7. Protect your energy. Set boundaries around activities and interactions that drain you emotionally or physically.
8. Plan memorial rituals. This could include creating a remembrance box, planting a tree, or marking the due date in a special way.
9. Be patient and kind to yourself. Healing doesn't follow a linear path. Celebrate small wins and allow setbacks without judgment.

The journey after pregnancy loss is unique, but prioritizing self-compassion and self-care can help restore your confidence and overall well-being.